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Updated: Jun 14, 2026

Stem Cell Transplantation Strategies for the Restoration of Cognitive Dysfunction Caused by Cranial Radiotherapy
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Implementation of an image-guided radiation therapy program: Lessons learnt and future challenges.

L J Bell1, L Oliver, P Vial

  • 1Northern Sydney Cancer Centre, Department of Radiation Oncology, Royal North Shore Hospital, St Leonards, New South Wales, Australia.

Journal of Medical Imaging and Radiation Oncology
|April 10, 2010
PubMed
Summary
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This paper details implementing image-guided radiation therapy (IGRT) using an on-board imager. It covers the procedures, multidisciplinary team, and protocols for enhanced cancer treatment accuracy.

Area of Science:

  • Medical Physics
  • Radiation Oncology
  • Radiotherapy Technology

Background:

  • Implementing advanced radiation therapy techniques is crucial for improving cancer treatment outcomes.
  • Image-guided radiation therapy (IGRT) offers enhanced precision by enabling real-time imaging during treatment delivery.

Purpose of the Study:

  • To document the practical experience and challenges of establishing an IGRT program at a clinical center.
  • To describe the technical and organizational aspects required for successful IGRT implementation.

Main Methods:

  • Retrofitting a Varian Clinac 21EX linear accelerator with an on-board imager.
  • Developing and executing commissioning and quality assurance protocols for the new system.
  • Establishing a multidisciplinary IGRT working group and creating clinical protocols for image acquisition and use.

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Main Results:

  • Successful integration of an on-board imager for IGRT.
  • Established comprehensive quality assurance and clinical protocols.
  • Demonstrated the feasibility of a multidisciplinary approach to IGRT implementation.

Conclusions:

  • The implementation of an IGRT program requires significant technical and organizational effort.
  • Continuous reassessment and adaptation are necessary as technology evolves.
  • IGRT enhances radiation delivery accuracy, contributing to improved patient care.